Title Multiple pulmonary metastases from asymptomatic benign intracranial meningioma: a case report /
Translation of Title Daugybinės plaučių metastazės iš besimptomės gerybinės intrakranijinėsmeningiomos: klinikinis atvejis.
Authors Ušinskienė, Jurgita ; Šestelinska, Evelina ; Neverauskienė, Laura ; Letautienė, Simona Rūta ; Ročka, Saulius
DOI 10.15388/LietChirur.2016.2-3.10088
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Is Part of Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2016, t. 15, Nr. 2-3, p. 108-112.. ISSN 1392-0995. eISSN 1648-9942
Keywords [eng] meningioma ; benign ; asymptomatic ; metastases
Abstract [eng] Inroduction. This case presents unexpected association between disease and symptoms. We believe that it should compel clinicians to rethink the known behaviors of the benign tumors, in particular meningioma which can gain independent metastatic poten­tial. This report aims to increase the awareness of clinicians toward patients with this unusual and clinically isolated pattern, because metastases can remain misdiagnosed for a long period of time. This case contributes to medical knowledge, diag­nostic and prognostic approaches. This is also the first case of metastatic meningioma reported in Lithuania. Case report. We report a 66-year-old woman who presented with persistent productive cough, dyspnea, fever and weakness during physical activity. Chest radiographs revealed multiple small round shaped pulmonary nodules. Thoracoscopic resection and histopathology showed a benign meningioma. Magnetic resonance imaging (MRI) scan of the brain demonstrated a small dural-based mass in the left pontocerebellar angle connected with deep dilated cerebral venous network and superior pe­trosal sinus. Morphological findings of this tumor were consistent with a World Health Organization (WHO) grade I fibrous meningioma. Conclusion. Meningiomas are usually non-invasive tumors and do not metastasize and hence, are perceived as benign tumors. Patients with this uncommon and clinically isolated pattern of metastases can remain misdiagnosed for a long period of time, due to unexpected behavior of this particular tumor. This case report denies most of the criteria of possible risk factors for the devel­opment of metastases from a meningioma what allows to consider it as tumor with unpredictable behavior.
Published Vilnius : Vilniaus universiteto leidykla
Type Journal article
Language English
Publication date 2016
CC license CC license description